Fulminate heparin-induced thrombocytopenia and surgery with deep hypothermic circulatory arrest using bivalirudin.

Andreas Koster, Mohammad Amin-Parsa, Michael Kaufmann, Ties Meyer-Jark, Marcus Rudloff, Juergen Diekmann, Wolf-Martin Georg, Michael Liebke, Uwe Schirmer, Jan F Gummert

Institute of Anaesthesiology, Heart and Diabetes Center North Rhine-Westphalia, Bad Oeynhausen, Germany. akoster@hdz-nrw.de

The Annals of thoracic surgery 2013 Mar

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After on-pump coronary artery bypass graft surgery, a patient had acute heparin-induced thrombocytopenia with thoracic arterial and venous thrombus formations. Complex emergency surgery with cardiopulmonary bypass and deep hypothermic circulatory arrest using bivalirudin anticoagulation was performed. Copyright © 2013 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Citation

Andreas Koster, Mohammad Amin-Parsa, Michael Kaufmann, Ties Meyer-Jark, Marcus Rudloff, Juergen Diekmann, Wolf-Martin Georg, Michael Liebke, Uwe Schirmer, Jan F Gummert. Fulminate heparin-induced thrombocytopenia and surgery with deep hypothermic circulatory arrest using bivalirudin. The Annals of thoracic surgery. 2013 Mar;95(3):1079-81